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CITY OF SANTA ANA <br />PROJECT NO. 11-7509 CI'T'YWIDE RESIDEN"TIAT" STREET REPAIR -PHASE 15 <br />PROPOSAL AND CONTRACT AGREEMENT <br />FEDERAL REQUIREMENTS FOR FEDERAL-AID CONSTRUCTION PROTECTS <br />l?2AL - vvcak hereexpraposed wt? be fa?oed in vvhc?le or inpeR wiflz (This foam need not be Stied in if all joint venhae flxxxvs axe xrmiarity <br />Fed®1 fimclq sod aIl of8re s nil?s and xegilalioas gt:xailga?d by owned) <br />the Fed®1 axd applicable b vwic Soaooed m whole Q m pat wiflx <br />Federal firms wID apply sudx wads The "Regiaed CadmcxPiwisams, Fed®1- 1. Name of jourt veut?se <br />Aid Cm?r>c>iQx "Form FHWA 1273, ate ioc?rled m >l>s Berlin 14. <br />Wlxenever m said xe?quIIed govigans refneacs ate male b "?3A <br />Cca>u?mg cz?" "SETA ems" or "aid xve af'the 2. Address of join venhr[e <br />SEI?" sudx te?axo? shell be b n? `" as defined ax Sexrim <br />1-1.18 c£flxe Sta?dSpevSca? <br />?. X1,5 ?. _ ? addidm b ibe 3. Phone xnxnmber of joint ventrae <br />gwisims sx Secbm IS `YVao?c Sep-'um V>l; ` _ ar <br />A?gt?g the Corrtac;' o£?e xac}a? corrisct the C? shaIl <br />?,"i,?? <br />4. Idexrlify the finis which comprise the joint ventiae. (The DBE <br /> partner xrarst complete cnl,?i„tP A) <br />The BIDDER sbaII ewaca? the C?tTIETCA RDCsARD 'PO <br />THE OF PREVTOL75 RACIS ? <br />SUB7ECT TD THE EQiJ:AL <br />CI.Ai75E AND THE FILING OF RFQi.JIl2ID ItFYC bid ibe a Describe the role of the DBE Sxm in this joixrt vexmae. <br />-- proposal No xa4xc? fir sublel? or assig®g ary poitiaai <br />eace$?'$10,000wiIlbec?daeduorlalhepawi?ms VII <br />xe¢sed oootract Iawi?ons unless suds xegxe? is <br />GFRTIFK'ATIONxef?edb above, exect?dbyflxe d b. Describe very briefly the experience and business <br />9ualiflcations o? <br />Pi20VIS[O1V5 -The gwisions this section ate each non-VIBE joixxt vetlnxre- <br />appaiml?lebaIlon?ei¢epto?HC?fQFed®lAid "ems <br />THIe 23, IJmbd Staffs Code; Section 112, iagimrs as a cmd? gmede<Y b .Nature of the joint venture's t,,,a;.,?a <br />appxv?ral by 8xe Fed®1 Hi?tvvay .4da of'flxe omuacx frir Ohs wosic that <br />eachBIDDE[t Ste a sv?xm s?aY errea?d bS; or onbehaffasy the person, f?a; <br />assoc®tiog or ccipa? b whom sudx ocotract is b be avvai? oettidyaxg that <br />such pe®oq f?S assod?aq a< caparatim has rroS ei?a daectly Q ia-dnacfly, 6. Pro copy of the joint venhae amt <br />et>?ed i? nay agreanea? paticip?d in any oolb?m or aflawise ial? a? <br />acuoninxes?offieeeornpe?n?eb?ino?ectimwiflithes?eB3dbid.A 7. What isthec peicexxlageofDBEownexship? <br />inn b xn? 1be non-ooEamm affidavit s7a?Y xegaed by SecUm 112 as a <br />oaAific-atrmxal?pmalty c?'pajrryxa®xerdxffias a s??om s??vaYffiPear?adbS' <br />28,U5C,Sac 1746,isioc?xdadinlhepmposaL <br />PARTIC?PATiUN BY D7SADVANTA® g?i 8. Ownership of joint v :('T'his treed not be Shed ax if described <br />IIVTFd2PR15F'SIN -I'at26sT?e49,CadecfI?ed®I inihejointvexrixae PiovidedbY4vestion(?• <br />a. Profit. and loss sharing <br />RegttTaho? supplies b 1hs Fed®l?d project Pet?xaY sections a£said Code are b ?? ??h°ns <br />iooo<pooledinpmtoria?er?c4ywifl>s?oflxasacsimsoT'11?e?adalgwisims ' <br />including <br />?rbe?,?•B_hiloarxauonfaDe?axmir?Jo?Vem=eI]glalAy. c. C>tberapplicab? <br /> ownership ixrteresis <br />, <br />Afmtiax®t <br />F.>d?rtA-Fl[21 <br />807A7 <br />TO BE INCLUDED IN BID PACKAGE <br />BP 18 of 29